ABSTRACT

References 346

1. MIXED HEARING LOSS

Whenever the hearing loss of a patient includes a mixture of both conductive and sensor-

ineural characteristics, he/she is said to have a mixed hearing loss. The hearing deficiency may have started originally as a conductive failure, such as otosclerosis, and later

developed a superimposed sensorineural component; or the difficulty may have been

sensorineural in the beginning, such as presbycusis, and a conductive defect, perhaps

resulting from middle-ear infection, may have developed subsequently. In some cases the

conductive and the sensorineural elements may have started simultaneously, as in a severe

head injury affecting both the inner ear and the middle ear.